EP1862148A1 - Intraocular lenses with enhanced off-axis visual performance - Google Patents

Intraocular lenses with enhanced off-axis visual performance Download PDF

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Publication number
EP1862148A1
EP1862148A1 EP07108531A EP07108531A EP1862148A1 EP 1862148 A1 EP1862148 A1 EP 1862148A1 EP 07108531 A EP07108531 A EP 07108531A EP 07108531 A EP07108531 A EP 07108531A EP 1862148 A1 EP1862148 A1 EP 1862148A1
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EP
European Patent Office
Prior art keywords
aberration
intraocular lens
optic
posterior
anterior
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Granted
Application number
EP07108531A
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German (de)
French (fr)
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EP1862148B1 (en
Inventor
Xin Hong
Mutlu Karakelle
Xiaoxiao Zhang
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Alcon Inc
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Alcon Inc
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2/1613Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2/1613Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
    • A61F2/1637Correcting aberrations caused by inhomogeneities; correcting intrinsic aberrations, e.g. of the cornea, of the surface of the natural lens, aspheric, cylindrical, toric lenses
    • GPHYSICS
    • G02OPTICS
    • G02BOPTICAL ELEMENTS, SYSTEMS OR APPARATUS
    • G02B3/00Simple or compound lenses
    • G02B3/0006Arrays
    • G02B3/0012Arrays characterised by the manufacturing method
    • GPHYSICS
    • G02OPTICS
    • G02CSPECTACLES; SUNGLASSES OR GOGGLES INSOFAR AS THEY HAVE THE SAME FEATURES AS SPECTACLES; CONTACT LENSES
    • G02C7/00Optical parts
    • G02C7/02Lenses; Lens systems ; Methods of designing lenses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/14Eye parts, e.g. lenses, corneal implants; Implanting instruments specially adapted therefor; Artificial eyes
    • A61F2/16Intraocular lenses
    • A61F2/1613Intraocular lenses having special lens configurations, e.g. multipart lenses; having particular optical properties, e.g. pseudo-accommodative lenses, lenses having aberration corrections, diffractive lenses, lenses for variably absorbing electromagnetic radiation, lenses having variable focus
    • A61F2/1648Multipart lenses

Definitions

  • the present invention is generally directed to ophthalmic lenses, and more particularly, to intraocular lenses (IOLs) that provide enhanced on-axis and off-axis visual performance.
  • IOLs intraocular lenses
  • Intraocular lenses are routinely implanted in patients' eyes during cataract surgery to replace the natural crystalline lens.
  • aberrations such as spherical aberrations or comatic aberrations
  • spherical aberrations can degrade vision contrast, especially for large pupil sizes.
  • Some conventional IOLs provide correction for a single aberration, e.g., spherical aberration, but do not address the issue of multiple aberrations.
  • optical imaging systems such as IOLS
  • light from an object in the center of a viewing field is focused at a focal point defined by the optics.
  • the focus is wavelength dependent.
  • light at the design wavelength can be focused at the focal point, light at other wavelengths will be focused either in front or behind the ideal focal point.
  • This type of "on-axis" aberration is known as chromatic aberration.
  • Off-axis aberrations are also common in optical systems.
  • spherical aberration light from the objects in the periphery of the viewing field are focused either in front or behind the ideal focal point.
  • coma the images of peripheral objects may also be somewhat unfocused and instead appear wedge-shaped. The further off-axis, the worse this effect appears and hence, the name “comatic aberration” or coma, since it was first recognized in viewing stars with telescopes.
  • Spherical aberration like chromatic aberrations, is a radially symmetrical form of aberration, while coma is an asymmetric aberration.
  • Another form of asymmetric aberration is "trefoil,” in which three distinct axes with different curvatures are present.
  • Each of these forms of aberration can be present in ophthalmic lenses, especially when they form part of the total vision system, including the patient's cornea.
  • the present invention is directed generally to multi-surface and/or multi-element intraocular lenses (IOLs) in accordance with claims which follow, in which a plurality of surfaces are adapted to provide compensation for a variety of aberrations, and in particular, for off-axis aberrations such as coma, or trefoil, in addition to on-axis aberrations, such as spherical aberration.
  • IOLs intraocular lenses
  • a plurality of surfaces are adapted to provide compensation for a variety of aberrations, and in particular, for off-axis aberrations such as coma, or trefoil, in addition to on-axis aberrations, such as spherical aberration.
  • different surfaces are adapted to compensate for different aberrations so as to provide enhanced on-axis as well as off-axis visual performance.
  • an aberration value which can be defined as root-mean-square (RMS) of the aberration
  • RMS root-mean-square
  • an aberration value can be measured over a 6 mm apparent (or entrance) pupil when the lens is implanted in a human eye (or a model eye), which can correspond to a lens aperture size of about 5 mm for an ophthalmic lens implanted in the human capsular bag.
  • the aberration values recited herein are based on these criteria, and hence, for ease of description, the RMS definition and the 6 mm qualification will be omitted in connection with the aberration values recited in the sections that follow.
  • an intraocular lens in one aspect, includes a posterior optic and an anterior optic.
  • One of the optics provides compensation for a radially symmetric aberration and the other provides compensation for a radially asymmetric aberration.
  • an optic provides compensation for an aberration by completely or partially correcting (counteracting) the effects of that aberration. For example, when the aberration causes an axial spread of the focal point, the compensation can decrease the spread so as to generate a sharper focus.
  • the radially symmetric aberration comprises spherical aberration and the radially asymmetric aberration comprises any of coma or trefoil.
  • at least one of the posterior or anterior optics can be adapted to provide compensation in a range of about - 0.5 (minus 0.5) microns to about +0.5 microns (plus 0.5 microns) for an aberration.
  • each optic can include at least one optical surface whose base profile exhibits a selected degree of asphericity (departure from a spherical surface) designed to counteract an aberration, e.g., spherical aberration.
  • the posterior and anterior optics are axially separated by a distance in a range of about 0 to about 5 millimeters. In many cases, the posterior and anterior optics are disposed relative to one another such that their optical axes are substantially aligned.
  • the posterior and anterior optics collectively provide an optical power in a range of about 6 Diopters to about 34 Diopters.
  • the optics are preferably formed of biocompatible materials, such as soft acrylic, silicone, hydrogel or other biocompatible polymeric materials having a requisite index of refraction for a particular application. While in some cases both optics are formed of the same material, in others, they can be formed of different materials.
  • the anterior and posterior optics have different chromatic dispersions (variations of index of refraction as a function of wavelength) so as to cooperatively provide compensation for chromatic aberrations.
  • an intraocular lens in another aspect, includes an optic having a posterior optical surface and an anterior optical surface.
  • the anterior surface is adapted to provide compensation for a radially symmetric aberration and the posterior surface is adapted to provide compensation for a radially asymmetric aberration.
  • the radially symmetric aberration comprises spherical aberration while the radially asymmetric aberration comprises any of coma or trefoil.
  • one of the posterior or the anterior surfaces includes an aspheric, symmetric base profile that provides compensation for spherical aberration, e.g., by providing a correction in a range of about - 0.5 (minus 0.5) microns to about +0.5 (plus 0.5) microns, while the other surface includes an asymmetric profile adapted to provide compensation for coma, and/or trefoild, e.g., by providing a correction in a range of about - 0.5 microns to about +0.5 microns.
  • the intraocular lens can be formed of a biocompatible material, and can be adapted to provide an optical power in a range of about 6 Diopters to about 34 Diopters.
  • the invention provides an intraocular lens (IOL) that includes a posterior optic and an anterior optic, wherein the posterior optic comprises at least one optical surface adapted to provide compensation for one aberration type and the anterior optic comprises at least one optical surface adapted to provide compensation for another aberration type.
  • IOL intraocular lens
  • one of the aberration types can comprise a radially symmetric aberration, e.g., spherical aberration, while the other aberration type can comprise a radially asymmetric aberration, e.g., coma.
  • At least one of the posterior or anterior optics comprises another optical surface adapted to provide compensation for a third aberration type, e.g., trefoil.
  • FIGURE 1 is a cross-sectional view of a multi-element IOL according to one embodiment of the invention
  • FIGURE 2 is another cross-sectional view of the IOL of FIGURE 1 schematically illustrating an asphericity associated with the anterior surface of the anterior optic of the IOL,
  • FIGURE 3 is another cross-sectional view of the IOL of FIGURE 1 schematically illustrating an asymmetry imparted to an anterior surface of the IOL's posterior optic for correcting coma, and
  • FIGURE 4 is a schematic cross-sectional view of an IOL in accordance with another embodiment of the invention comprising an optic having an anterior surface shaped to provide compensation for a radially symmetric aberration (e.g., spherical aberration) and a posterior surface shaped to provide compensation for a radially asymmetric aberration (e.g., coma).
  • a radially symmetric aberration e.g., spherical aberration
  • a posterior surface shaped to provide compensation for a radially asymmetric aberration (e.g., coma).
  • the present invention relates generally to multi-element and/or multi-surface ophthalmic lenses in which different elements and/or surfaces provide independent correction of a plurality of monochromatic, polychromatic and oblique aberrations.
  • IOLs intraocular lenses
  • teachings of the invention can also be applied to other ophthalmic lenses, such as contact lenses.
  • intraocular lens and its abbreviation "IOL” are used herein interchangeably to describe lenses that are implanted into the interior of the eye to either replace the eye's natural lens or to otherwise augment vision regardless of whether or not the natural lens is removed.
  • Intracomeal lenses and phakic lenses are examples of lenses that may be implanted into the eye without removal of the natural lens.
  • an exemplary intraocular lens (IOL) 10 includes an anterior optic 12 and a posterior optic 14.
  • the optic 12 can be characterized by an optical axis OA and the optic 14 can be characterized by an optical axis OB.
  • the optical axes OA and OB are substantially aligned.
  • one or more surfaces of at least one optic, and/or the optic itself can be asymmetric relative to the respective optical axis, e.g., to reduce off-axis aberrations as discussed further below.
  • the optics 12 and 14 are axially separated from one another, in other embodiments, the optics can be in contact via two surfaces thereof More generally, in many embodiments, the separation between the optics can range from zero to about 5 mm.
  • the IOL 10 further includes fixation members or haptics 16 that facilitate its placement in a patient's eye.
  • the anterior and posterior optics collectively provide an optical power in a range of about 6 Diopters (D) to about 34 D.
  • the optics are preferably formed of biocompatible materials, such as soft acrylic, silicone, hydrogel or other biocompatible polymeric materials having a requisite index of refraction for a particular application.
  • biocompatible materials such as soft acrylic, silicone, hydrogel or other biocompatible polymeric materials having a requisite index of refraction for a particular application.
  • U.S. Patent No. 6,416,550 discloses materials suitable for forming the IOL 10.
  • the haptics 16 can also be formed of suitable polymeric materials, such as polymethylmethacrylate, polypropylene and the like.
  • both optics are formed of the same material, in other embodiments, they can be formed of different materials.
  • the posterior optic can be formed of a soft acrylic material known as Acrysof ® (a cross-linked copolymer of 2-phenylethyl acrylate and 2-phenylethyl methacrylate) having an index of refraction of about 1.55, while the anterior optic is formed of another material having a lower index of refraction (e.g., 1.42) so as to reduce surface reflections and glare.
  • Acrysof ® a cross-linked copolymer of 2-phenylethyl acrylate and 2-phenylethyl methacrylate
  • anterior optic 12 includes an anterior surface 12a and a posterior surface 12b that provide the optic with a generally bi-convex shape.
  • the posterior optic is, in turn, formed of a generally concave anterior surface 14a and a substantially flat posterior surface 14b.
  • Other shapes can also be employed for the anterior and/or posterior optics, such as plano-convex.
  • the anterior surface 12a of the anterior optic 12 exhibits an aspheric base profile that reduces spherical aberration - a radially symmetric aberration. That is, the anterior surface 12a includes a base profile that is substantially coincident with a putative spherical profile 18 (depicted by dashed lines) at small radial distances from the optical axis but exhibits an increasing deviation from that spherical profile as the radial distance from the optical axis increases.
  • the asphericity of the profile can be selected to provide a compensation in a range of about - 0.5
  • microns to about + 0.5 microns and preferably in a range of about - 0.1 microns to about - 0.3 microns, for the spherical aberration.
  • z denotes a sag of the surface at a radial distance r from an optical axis of the optic 12
  • c denotes curvature of the surface at its apex (at the intersection of the optical axis with the surface)
  • c 1 R where R denotes the radius of the surface at its apex, k denotes a conic constant, a 1 denotes a second order aspheric coefficient, a 2 denotes a fourth order aspheric coefficient, and a 3 denotes a sixth order aspheric coefficient.
  • the aspheric profile of the anterior surface can be characterized by the above relation with c ranging from about 0.0152 mm -1 to about 0.0659 mm -1 , k ranging from about -1162 to about -19, a 1 ranging from about -0.00032 mm -1 to about - 0.00020 mm -1 , a 2 ranging from about - 0.0000003 (minus 3x10 -7 ) mm -3 to about - 0.000053 (minus 5.3x10 -5 ) mm -3 , and a 3 ranging from about 0.0000082 (8.2x10 -6 ) mm -5 to about 0.000153 (1.53x10 -4 ) mm -5 .
  • the posterior optic 14 is shaped so as to provide compensation for a radially-asymmetric aberration, such as coma.
  • the profile of the anterior surface 14a of the posterior optic 14 can be adapted to provide compensation (e.g., in a range of about - 0.5 to about +0.5 microns, and preferably in a range of about - 0.35 to about + 0.35 microns) for coma.
  • coma is an off-axial aberration that is non-symmetrical about the optical axis.
  • Coma can arise, e.g., when light rays incident on a lens are not parallel to the lens's optical axis, thereby affecting the off-axis performance of the lens.
  • the off-axis performance of an IOL implanted in a patient's eye can be important as the human eye depends on peripheral vision for, e.g., transient object perception.
  • peripheral vision e.g., transient object perception.
  • AMD age-related macular degeneration
  • the off-axis performance of the IOL can be important.
  • the profile of the anterior surface 14a of the posterior optic 14 deviates from a putative spherical profile 20 (shown in dashed lines) in a rotationally asymmetric manner relative to the optical axis so as to reduce coma.
  • the anterior optic 12 provides compensation for one or more radially asymmetric aberrations while the posterior optic provides compensation for a radially symmetric aberration.
  • the anterior surface 12a of the anterior optic can be adapted to compensate for coma, e.g., in a manner discussed above, while the profile of its posterior surface 12b can be adapted to compensate for another radially asymmetric aberration, such as trefoil.
  • the profile of the posterior surface 12b can be adapted to provide a compensation in a range of about - 0.35 to about +0.35 microns for the trefoild aberration.
  • the anterior surface 14a of the posterior optic 14 can provide a correction for a rotationally symmetric aberration (e.g., spherical aberration), for example, in a manner discussed above.
  • the chromatic dispersions (variations of refractive index as a function of wavelength) of the materials forming the optics 12 and 14 of the IOL 10, together with the radii of curvature of their optical surfaces, are selected to reduce, or substantially eliminate, the longitudinal chromatic aberrations exhibited by the IOL 10, and/or to provide compensation for the natural chromatic aberrations of the eye.
  • one optic e.g., 12
  • the other optic e.g., 14
  • the other optic can be configured to have a negative optical power and be made of a different material such that the IOL would provide chromatic aberrations correction.
  • the IOL can provide a chromatic aberration correction in a range of about 1 to about 2 Diopters over a wavelength range of about 400 nm to about 700 nm.
  • a variation of the refractive index of a material as a function of radiation wavelength is referred to as the dispersion of that material.
  • Abbe number also known as V-number or constringence of a material
  • V Abbe number
  • n D , n F and n C represent the refractive indices of the material at wavelengths of 589.2 nm, 486.1 nm and 656.3 nm, respectively, that correspond to Fraunhofer D-, F-, and C-spectral lines.
  • materials having high values of V exhibit low dispersions.
  • the materials forming the optics 12 and 14 have sufficiently different V numbers so as to minimize, and in some cases eliminate the chromatic aberrations of the IOL.
  • PMMA polymethylmethacrylate
  • FIGURE 4 schematically illustrates an IOL 22 according to another embodiment of the invention that includes an optic 24 having an anterior surface 24a and a posterior surface 24b.
  • the IOL 22 further includes a plurality of fixation members or haptics 26 that facilitate its placement in a patient's eye. Similar to the previous embodiments, the IOL 22 is preferably formed of a biocompatible material, such as those discussed above.
  • the IOL 22 has a bi-convex shape
  • other shapes can be employed.
  • the anterior surface 24a has a surface profile that is adapted to compensate for a radially asymmetric aberration (e.g., coma or trefoil) while the posterior surface 24b exhibits a profile adapted to compensate for a radially symmetric aberration (e.g., spherical aberration).
  • the anterior surface can be characterized by the above Equations (1) while the posterior surface is characterized by the above Equations (2) and (3) or Equations (4) and (5).
  • the use of different optics of a multi-optic IOL and/or different surfaces of a single-optic IOL for compensation of a plurality of aberrations advantageously allows independent adjustment of a number of distinct aberration modes. Further, it can facilitate customizing the IOLs to suit the visual needs of individual patients by streamlining the manufacturing processes. For example, for each optical surface of the IOL, a series of optic pins with different correction amounts associated with a given aberration mode can be set up. A permutation of such optic pins corresponding to different surfaces can be employed to provide IOLs exhibiting compensation for different aberrations and/or different amounts of aberration correction.

Abstract

The present invention is generally directed to multi-surface (22) and/or multi-element (10) intraocular lenses (IOLs) in which a plurality of surfaces (24a,24b; 14a,12b) are adapted to provide compensation for a variety of aberrations, and in particular, for off-axis aberrations such as coma or spherical aberration. In one aspect, an intraocular lens is disclosed that includes a posterior optic (14) and an anterior optic (12). One optic provides compensation for a radially symmetric aberration and the other provides compensation for a radially asymmetric aberration.

Description

    FIELD OF THE INVENTION
  • The present invention is generally directed to ophthalmic lenses, and more particularly, to intraocular lenses (IOLs) that provide enhanced on-axis and off-axis visual performance.
  • BACKGROUND
  • Intraocular lenses are routinely implanted in patients' eyes during cataract surgery to replace the natural crystalline lens. A variety of aberrations, such as spherical aberrations or comatic aberrations, can adversely affect the visual performance of such implanted IOLs. For example, spherical aberrations can degrade vision contrast, especially for large pupil sizes. Some conventional IOLs provide correction for a single aberration, e.g., spherical aberration, but do not address the issue of multiple aberrations.
  • In optical imaging systems, such as IOLS, light from an object in the center of a viewing field is focused at a focal point defined by the optics. The focus, however, is wavelength dependent. Hence, while light at the design wavelength can be focused at the focal point, light at other wavelengths will be focused either in front or behind the ideal focal point. This type of "on-axis" aberration is known as chromatic aberration.
  • Off-axis aberrations are also common in optical systems. In cases of "spherical" aberration, light from the objects in the periphery of the viewing field are focused either in front or behind the ideal focal point. In cases of "coma," the images of peripheral objects may also be somewhat unfocused and instead appear wedge-shaped. The further off-axis, the worse this effect appears and hence, the name "comatic aberration" or coma, since it was first recognized in viewing stars with telescopes.
  • Spherical aberration, like chromatic aberrations, is a radially symmetrical form of aberration, while coma is an asymmetric aberration. Another form of asymmetric aberration is "trefoil," in which three distinct axes with different curvatures are present. Each of these forms of aberration (as well as others) can be present in ophthalmic lenses, especially when they form part of the total vision system, including the patient's cornea.
  • Accordingly, there is a need for enhanced ophthalmic lenses, and more particularly, for enhanced IOLs that can compensate for multiple aberrations.
  • SUMMARY
  • The present invention is directed generally to multi-surface and/or multi-element intraocular lenses (IOLs) in accordance with claims which follow, in which a plurality of surfaces are adapted to provide compensation for a variety of aberrations, and in particular, for off-axis aberrations such as coma, or trefoil, in addition to on-axis aberrations, such as spherical aberration. In some embodiments, different surfaces are adapted to compensate for different aberrations so as to provide enhanced on-axis as well as off-axis visual performance. By way of example, an aberration value, which can be defined as root-mean-square (RMS) of the aberration, can be measured over a 6 mm apparent (or entrance) pupil when the lens is implanted in a human eye (or a model eye), which can correspond to a lens aperture size of about 5 mm for an ophthalmic lens implanted in the human capsular bag. Unless otherwise indicated, the aberration values recited herein are based on these criteria, and hence, for ease of description, the RMS definition and the 6 mm qualification will be omitted in connection with the aberration values recited in the sections that follow.
  • In one aspect, an intraocular lens is disclosed that includes a posterior optic and an anterior optic. One of the optics provides compensation for a radially symmetric aberration and the other provides compensation for a radially asymmetric aberration. As used herein, an optic provides compensation for an aberration by completely or partially correcting (counteracting) the effects of that aberration. For example, when the aberration causes an axial spread of the focal point, the compensation can decrease the spread so as to generate a sharper focus.
  • In a related aspect, the radially symmetric aberration comprises spherical aberration and the radially asymmetric aberration comprises any of coma or trefoil. In some cases, at least one of the posterior or anterior optics can be adapted to provide compensation in a range of about - 0.5 (minus 0.5) microns to about +0.5 microns (plus 0.5 microns) for an aberration. By way of example, each optic can include at least one optical surface whose base profile exhibits a selected degree of asphericity (departure from a spherical surface) designed to counteract an aberration, e.g., spherical aberration.
  • In another aspect, the posterior and anterior optics are axially separated by a distance in a range of about 0 to about 5 millimeters. In many cases, the posterior and anterior optics are disposed relative to one another such that their optical axes are substantially aligned.
  • In another aspect, the posterior and anterior optics collectively provide an optical power in a range of about 6 Diopters to about 34 Diopters. The optics are preferably formed of biocompatible materials, such as soft acrylic, silicone, hydrogel or other biocompatible polymeric materials having a requisite index of refraction for a particular application. While in some cases both optics are formed of the same material, in others, they can be formed of different materials.
  • In a related aspect, the anterior and posterior optics have different chromatic dispersions (variations of index of refraction as a function of wavelength) so as to cooperatively provide compensation for chromatic aberrations.
  • In another aspect, an intraocular lens is disclosed that includes an optic having a posterior optical surface and an anterior optical surface. The anterior surface is adapted to provide compensation for a radially symmetric aberration and the posterior surface is adapted to provide compensation for a radially asymmetric aberration. By way of example, the radially symmetric aberration comprises spherical aberration while the radially asymmetric aberration comprises any of coma or trefoil.
  • In a related aspect, one of the posterior or the anterior surfaces includes an aspheric, symmetric base profile that provides compensation for spherical aberration, e.g., by providing a correction in a range of about - 0.5 (minus 0.5) microns to about +0.5 (plus 0.5) microns, while the other surface includes an asymmetric profile adapted to provide compensation for coma, and/or trefoild, e.g., by providing a correction in a range of about - 0.5 microns to about +0.5 microns.
  • The intraocular lens can be formed of a biocompatible material, and can be adapted to provide an optical power in a range of about 6 Diopters to about 34 Diopters.
  • In another aspect, the invention provides an intraocular lens (IOL) that includes a posterior optic and an anterior optic, wherein the posterior optic comprises at least one optical surface adapted to provide compensation for one aberration type and the anterior optic comprises at least one optical surface adapted to provide compensation for another aberration type.
  • In a related aspect, one of the aberration types can comprise a radially symmetric aberration, e.g., spherical aberration, while the other aberration type can comprise a radially asymmetric aberration, e.g., coma.
  • In another aspect, at least one of the posterior or anterior optics comprises another optical surface adapted to provide compensation for a third aberration type, e.g., trefoil.
  • Further understanding of the invention can be obtained by reference to the following detailed description in conjunction with the drawings, which are described briefly below.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIGURE 1 is a cross-sectional view of a multi-element IOL according to one embodiment of the invention,
  • FIGURE 2 is another cross-sectional view of the IOL of FIGURE 1 schematically illustrating an asphericity associated with the anterior surface of the anterior optic of the IOL,
  • FIGURE 3 is another cross-sectional view of the IOL of FIGURE 1 schematically illustrating an asymmetry imparted to an anterior surface of the IOL's posterior optic for correcting coma, and
  • FIGURE 4 is a schematic cross-sectional view of an IOL in accordance with another embodiment of the invention comprising an optic having an anterior surface shaped to provide compensation for a radially symmetric aberration (e.g., spherical aberration) and a posterior surface shaped to provide compensation for a radially asymmetric aberration (e.g., coma).
  • DETAILED DESCRIPTION
  • The present invention relates generally to multi-element and/or multi-surface ophthalmic lenses in which different elements and/or surfaces provide independent correction of a plurality of monochromatic, polychromatic and oblique aberrations. In the embodiments that follow, the salient features of various aspects of the invention are discussed in connection with intraocular lenses (IOLs). However, the teachings of the invention can also be applied to other ophthalmic lenses, such as contact lenses. Further the term "intraocular lens" and its abbreviation "IOL" are used herein interchangeably to describe lenses that are implanted into the interior of the eye to either replace the eye's natural lens or to otherwise augment vision regardless of whether or not the natural lens is removed. Intracomeal lenses and phakic lenses are examples of lenses that may be implanted into the eye without removal of the natural lens.
  • With reference to FIGURE 1, an exemplary intraocular lens (IOL) 10 according to one embodiment of the invention includes an anterior optic 12 and a posterior optic 14. The optic 12 can be characterized by an optical axis OA and the optic 14 can be characterized by an optical axis OB. In many embodiments, the optical axes OA and OB are substantially aligned.
  • In some embodiments, one or more surfaces of at least one optic, and/or the optic itself, can be asymmetric relative to the respective optical axis, e.g., to reduce off-axis aberrations as discussed further below. Although in this embodiment the optics 12 and 14 are axially separated from one another, in other embodiments, the optics can be in contact via two surfaces thereof More generally, in many embodiments, the separation between the optics can range from zero to about 5 mm. The IOL 10 further includes fixation members or haptics 16 that facilitate its placement in a patient's eye.
  • In many embodiments, the anterior and posterior optics collectively provide an optical power in a range of about 6 Diopters (D) to about 34 D. Further, the optics are preferably formed of biocompatible materials, such as soft acrylic, silicone, hydrogel or other biocompatible polymeric materials having a requisite index of refraction for a particular application. By way of further examples, U.S. Patent No. 6,416,550 , discloses materials suitable for forming the IOL 10. The haptics 16 can also be formed of suitable polymeric materials, such as polymethylmethacrylate, polypropylene and the like.
  • While in some embodiments, both optics are formed of the same material, in other embodiments, they can be formed of different materials. By way of example, in this exemplary embodiment, the posterior optic can be formed of a soft acrylic material known as Acrysof® (a cross-linked copolymer of 2-phenylethyl acrylate and 2-phenylethyl methacrylate) having an index of refraction of about 1.55, while the anterior optic is formed of another material having a lower index of refraction (e.g., 1.42) so as to reduce surface reflections and glare.
  • With continued reference to FIGURE 1, anterior optic 12 includes an anterior surface 12a and a posterior surface 12b that provide the optic with a generally bi-convex shape. The posterior optic is, in turn, formed of a generally concave anterior surface 14a and a substantially flat posterior surface 14b. Other shapes can also be employed for the anterior and/or posterior optics, such as plano-convex.
  • One or more optical surfaces of the optics 12 and 14 are configured so as to reduce, and in some cases eliminate, a number of radially symmetric and radially asymmetric aberrations. By way of example, as shown schematically in FIGURE 2, in this embodiment, the anterior surface 12a of the anterior optic 12 exhibits an aspheric base profile that reduces spherical aberration - a radially symmetric aberration. That is, the anterior surface 12a includes a base profile that is substantially coincident with a putative spherical profile 18 (depicted by dashed lines) at small radial distances from the optical axis but exhibits an increasing deviation from that spherical profile as the radial distance from the optical axis increases. In some embodiments, the asphericity of the profile can be selected to provide a compensation in a range of about - 0.5
  • microns to about + 0.5 microns, and preferably in a range of about - 0.1 microns to about - 0.3 microns, for the spherical aberration.
  • In some embodiments, the aspherical profile of the anterior surface can be defined in accordance with the following relation: z = cr 2 1 + [ 1 - 1 - k c 2 r 2 ] 1 2 + a 1 r 2 + a 2 r 4 + a 3 r 6
    Figure imgb0001

    wherein,
    z denotes a sag of the surface at a radial distance r from an optical axis of the optic 12, c denotes curvature of the surface at its apex (at the intersection of the optical axis with the surface); c = 1 R
    Figure imgb0002
    where R denotes the radius of the surface at its apex,
    k denotes a conic constant,
    a1 denotes a second order aspheric coefficient,
    a2 denotes a fourth order aspheric coefficient, and
    a3 denotes a sixth order aspheric coefficient.
  • In some embodiments, the aspheric profile of the anterior surface can be characterized by the above relation with c ranging from about 0.0152 mm-1 to about 0.0659 mm-1, k ranging from about -1162 to about -19, a1 ranging from about -0.00032 mm-1 to about - 0.00020 mm-1, a2 ranging from about - 0.0000003 (minus 3x10-7) mm-3 to about - 0.000053 (minus 5.3x10-5) mm-3, and a3 ranging from about 0.0000082 (8.2x10-6) mm-5 to about 0.000153 (1.53x10-4) mm-5.
  • With continued reference to FIGURES 1 and 2, in this embodiment, the posterior optic 14 is shaped so as to provide compensation for a radially-asymmetric aberration, such as coma. For example, the profile of the anterior surface 14a of the posterior optic 14 can be adapted to provide compensation (e.g., in a range of about - 0.5 to about +0.5 microns, and preferably in a range of about - 0.35 to about + 0.35 microns) for coma. As known in the art, coma is an off-axial aberration that is non-symmetrical about the optical axis. Coma can arise, e.g., when light rays incident on a lens are not parallel to the lens's optical axis, thereby affecting the off-axis performance of the lens. The off-axis performance of an IOL implanted in a patient's eye can be important as the human eye depends on peripheral vision for, e.g., transient object perception. Further, patients who suffer from age-related macular degeneration (AMD) typically rely heavily on their peripheral vision to perform visual tasks. Hence, for such a patient having an implanted IOL, the off-axis performance of the IOL can be important.
  • More particularly, with reference to FIGURE 3, in this exemplary embodiment, the profile of the anterior surface 14a of the posterior optic 14 deviates from a putative spherical profile 20 (shown in dashed lines) in a rotationally asymmetric manner relative to the optical axis so as to reduce coma. In some embodiments, such asymmetric profile of the surface 14a can be defined in accordance with the following relation: z = c coma * f coma r θ α ,
    Figure imgb0003

    wherein, f coma r θ α = 2 3 10 r 5 - 12 r 3 + 3 r cos θ + α
    Figure imgb0004

    wherein,
    z indicates a sag of the surface along the optical axis,
    Ccoma is a coefficient indicating a correction magnitude (e.g., in a range of about - 0.5 microns to about + 0.5 microns),
    r is a pupil location normalized relative to the pupil radius,
    θ denotes a meridian angle, and
    α represents the coma axis to be corrected.
  • Referring again to FIGURE 1, in another embodiment, the anterior optic 12 provides compensation for one or more radially asymmetric aberrations while the posterior optic provides compensation for a radially symmetric aberration. For example, the anterior surface 12a of the anterior optic can be adapted to compensate for coma, e.g., in a manner discussed above, while the profile of its posterior surface 12b can be adapted to compensate for another radially asymmetric aberration, such as trefoil. For example, the profile of the posterior surface 12b can be adapted to provide a compensation in a range of about - 0.35 to about +0.35 microns for the trefoild aberration. Further, the anterior surface 14a of the posterior optic 14 can provide a correction for a rotationally symmetric aberration (e.g., spherical aberration), for example, in a manner discussed above.
  • By way of example, in some embodiments, the profile of a surface of the lens, which provides a correction for the trefoil aberration, can be defined in accordance with the following relation: z = c trefoil * f trefoil r θ α
    Figure imgb0005

    wherein, f trefoil r θ α = 2 3 5 r 5 - 4 r 3 cos 3 ( θ + α )
    Figure imgb0006

    wherein,
    ctrefoil is a coefficient indicating a correction magnitude (e.g., in a range of about - 0.5 microns to about +0.5 microns),
    r is a pupil location normalized relative to the pupil radius,
    θ is a meridian angle, and
    α is the trefoil axis to be corrected.
  • In some embodiments, the chromatic dispersions (variations of refractive index as a function of wavelength) of the materials forming the optics 12 and 14 of the IOL 10, together with the radii of curvature of their optical surfaces, are selected to reduce, or substantially eliminate, the longitudinal chromatic aberrations exhibited by the IOL 10, and/or to provide compensation for the natural chromatic aberrations of the eye. For example, one optic (e.g., 12) can be configured to have a positive optical power and be made of one type of material and the other optic (e.g., 14) can be configured to have a negative optical power and be made of a different material such that the IOL would provide chromatic aberrations correction. For example, in some embodiments, the IOL can provide a chromatic aberration correction in a range of about 1 to about 2 Diopters over a wavelength range of about 400 nm to about 700 nm. As is known in the art, a variation of the refractive index of a material as a function of radiation wavelength is referred to as the dispersion of that material. One commonly employed measure of a material's dispersion (variation of refractive index with wavelength) is known as Abbe number (also known as V-number or constringence of a material), and is defined as follows: V = n D - 1 n F - n C
    Figure imgb0007

    where nD, nF and nC represent the refractive indices of the material at wavelengths of 589.2 nm, 486.1 nm and 656.3 nm, respectively, that correspond to Fraunhofer D-, F-, and C-spectral lines. In general, materials having high values of V exhibit low dispersions. In some embodiments, the materials forming the optics 12 and 14 have sufficiently different V numbers so as to minimize, and in some cases eliminate the chromatic aberrations of the IOL.
  • By way of example, in one embodiment, the optic 12 can be made from polymethylmethacrylate (PMMA) (V = 55) and the optic 14 can be made from polysulfone (V = 30.87). Other suitable materials include, without limitation, soft acrylics (V of about 37), polystyrene (V = 30.87), polycarbonate (V = 29.9), or cellulose acetate hydrate (V in a range of about 80 to 84) so long as the differences between the Abbe numbers of the materials forming the two optics are sufficiently large (e.g., greater than about 10) to provide a desired chromatic compensation. A U.S. patent application entitled "Correction of Chromatic Aberrations in Intraocular Lenses," filed concurrently herewith, and assigned to the assignee of the present application, provides further details regarding correcting chromatic aberrations in intraocular lenses, and is herein incorporated by reference in its entirety.
  • The teachings of the invention are not limited to multi-optic ophthalmic lenses. In other embodiments, one surface of a single-optic lens is employed to compensate for a radially symmetric aberration while the other surface of that optic is utilized to compensate for a radially asymmetric aberration. By way of example, FIGURE 4 schematically illustrates an IOL 22 according to another embodiment of the invention that includes an optic 24 having an anterior surface 24a and a posterior surface 24b. The IOL 22 further includes a plurality of fixation members or haptics 26 that facilitate its placement in a patient's eye. Similar to the previous embodiments, the IOL 22 is preferably formed of a biocompatible material, such as those discussed above. Although in this embodiment, the IOL 22 has a bi-convex shape, in other embodiments, other shapes can be employed. In this embodiment, the anterior surface 24a has a surface profile that is adapted to compensate for a radially asymmetric aberration (e.g., coma or trefoil) while the posterior surface 24b exhibits a profile adapted to compensate for a radially symmetric aberration (e.g., spherical aberration). For example, the anterior surface can be characterized by the above Equations (1) while the posterior surface is characterized by the above Equations (2) and (3) or Equations (4) and (5).
  • The use of different optics of a multi-optic IOL and/or different surfaces of a single-optic IOL for compensation of a plurality of aberrations advantageously allows independent adjustment of a number of distinct aberration modes. Further, it can facilitate customizing the IOLs to suit the visual needs of individual patients by streamlining the manufacturing processes. For example, for each optical surface of the IOL, a series of optic pins with different correction amounts associated with a given aberration mode can be set up. A permutation of such optic pins corresponding to different surfaces can be employed to provide IOLs exhibiting compensation for different aberrations and/or different amounts of aberration correction.
  • Those having ordinary skill in the art will appreciate that various changes can be made to the above embodiments without departing from the scope of the invention.

Claims (25)

  1. An intraocular lens (10) (IOL), comprising:
    a posterior optic (14), and
    an anterior optic (12),
    wherein said posterior optic comprises at least one optical surface (14a,14b) adapted to provide compensation for one aberration type and said anterior optic comprises at least one optical surface (12a,12b) adapted to provide compensation for another aberration type.
  2. The intraocular lens of claim 1, wherein one of said aberration types comprises a radially symmetric aberration and the other aberration type comprises a radially asymmetric aberration.
  3. The intraocular lens of claim 2, wherein one of said posterior and anterior optics (12,14) provides compensation for a radially symmetric aberration, and the other provides compensation for a radially asymmetric aberration.
  4. The intraocular lens of claim 2 or claim 3, wherein said radially symmetric aberration comprises spherical aberration.
  5. The intraocular lens of claim 2 or claim 3, wherein said radially asymmetric aberration comprises any of coma and trefoil aberrations.
  6. The intraocular lens of any of claims 1 to 5, wherein at least one of said posterior and anterior optics (12,14) comprises another optical surface adapted to provide compensation for a third aberration type.
  7. The intraocular lens of any of claims 2 to 6, wherein one of said posterior or anterior optics (12,14) is adapted to provide a correction in a range of about - 0.5 microns to about +0.5 microns for the radially symmetric aberration.
  8. The intraocular lens of any of claims 2 to 6, wherein one of said posterior or anterior optics (12,14) is adapted to provide a correction in a range of about - 0.5 microns to about +0.5 microns for the radially asymmetric aberration.
  9. The intraocular lens of claim 1, wherein said first and second optics (12,14) are axially separated by a distance in a range of about 0 to about 5 millimeters.
  10. The intraocular lens of claim 1, wherein an optical axis of said posterior optic (14) is substantially aligned with an optical axis of said anterior optic (12).
  11. The intraocular lens of any of claims 1 to 10, wherein said optics (12,14) are adapted to collectively provide an optical power in a range of about 6 Diopters to about 34 Diopters.
  12. The intraocular lens of any of claims 1 to 11, wherein an index of refraction of said posterior optic (14) is different than an index of refraction of said anterior optic (12).
  13. The intraocular lens of any of claims 1 to 12, wherein said posterior and anterior optics (12,14) have different chromatic dispersions adapted to cooperatively compensate for chromatic aberration.
  14. The intraocular lens of claim 2, wherein the optic providing compensation for the radially symmetric aberration comprises a surface having a profile defined in accordance with the following relation: z = cr 2 1 + [ 1 - 1 - k c 2 r 2 ] 1 2 + a 1 r 2 + a 2 r 4 + a 3 r 6
    Figure imgb0008

    wherein,
    z denotes a sag of the surface at a radial distance r from an optical axis of the optic 12,
    c denotes curvature of the surface at its apex,
    k denotes a conic constant,
    a1 denotes a second order aspheric coefficient,
    a2 denotes a fourth order aspheric coefficient, and
    a3 denotes a sixth order aspheric coefficient.
  15. The intraocular lens of claim 2, wherein the optic providing compensation for the radially asymmetric aberration comprises a surface having a profile defined in accordance with the following relation: z = c coma * f coma r θ α ,
    Figure imgb0009

    wherein, f coma r θ α = 2 3 10 r 5 - 12 r 3 + 3 r cos θ + α
    Figure imgb0010

    wherein,
    z indicates a sag of the surface along the optical axis,
    Ccoma is a coefficient indicating a correction magnitude,
    r is a pupil location normalized relative to the pupil radius,
    θ denotes a meridian angle, and
    α represents the coma axis to be corrected.
  16. The intraocular lens of claim 15, wherein the parameter Ccoma lies in a range of about - 0.5 microns to about + 0.5 microns.
  17. The intraocular lens of claim 2, wherein the optic providing compensation for the radially asymmetric aberration comprises a surface having a profile defined in accordance with the following relation: z = c trefoil * f trefoil r θ α ,
    Figure imgb0011

    wherein, f trefoil r θ α = 2 3 5 r 5 - 4 r 3 cos 3 ( θ + α )
    Figure imgb0012

    wherein,
    C trefoil is a coefficient indicating a correction magnitude,
    r is a pupil location normalized relative to the pupil radius,
    θ is a meridian angle, and
    α is the trefoil axis to be corrected.
  18. The intraocular lens of claim 17, wherein the parameter C trefoil lies in a range of -0.5 microns to about +0.5 microns.
  19. An intraocular lens (22), comprising
    an optic (24) having a posterior optical surface (24b) and an anterior optical surface (24a), said anterior surface being adapted to provide compensation for a radially symmetric aberration and said posterior surface being adapted to provide compensation for a radially asymmetric aberration.
  20. The intraocular lens of claim 19, wherein said radially symmetric aberration comprises spherical aberration.
  21. The intraocular lens of claim 19, wherein said radially asymmetric aberration comprises coma.
  22. The intraocular lens of claim 19, wherein said radially asymmetric aberration comprises trefoil aberration.
  23. The intraocular lens of claim 19, wherein said optic (24) is adapted to provide an optical power in a range of about 6 Diopters to about 34 Diopters.
  24. The intraocular lens of claim 19, wherein said optic (24) is formed of a biocompatible material.
  25. The intraocular lens of claim 19, wherein any of said anterior and posterior surfaces (24a,24b) provides a compensation in a range of about - 0.5 microns to about +0.5 microns for one of said symmetric and asymmetric aberrations.
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EP1862147A1 (en) 2006-05-31 2007-12-05 Alcon, Inc Correction of chromatic abberations in intraocular lenses

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WO2009029481A1 (en) * 2007-08-30 2009-03-05 Bausch & Lomb Incorporated An ophthalmic lens having selected spherochromatic control and methods
RU2489745C2 (en) * 2008-01-31 2013-08-10 Джонсон Энд Джонсон Вижн Кэа, Инк. Ophthalmic lenses for correcting aberration and methods of making said lenses
TWI494093B (en) * 2008-02-07 2015-08-01 Alcon Inc Accommodative iol with dynamic spherical aberration
US10197815B2 (en) 2008-05-13 2019-02-05 Amo Groningen B.V. Multi-ring lens, systems and methods for extended depth of focus
US20120109294A1 (en) * 2010-10-18 2012-05-03 Olson Randall J Vision correction system
US9335563B2 (en) 2012-08-31 2016-05-10 Amo Groningen B.V. Multi-ring lens, systems and methods for extended depth of focus
EP3824798A1 (en) * 2012-08-31 2021-05-26 Amo Groningen B.V. Multi-ring lens, systems and methods for extended depth of focus
US11022815B2 (en) 2012-08-31 2021-06-01 Amo Groningen B.V. Multi-ring lens, systems and methods for extended depth of focus
CN104755012B (en) * 2012-08-31 2018-01-12 Amo格罗宁根私人有限公司 Polycyclic crystalline lens, system and method for extended focal depth
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WO2014033543A3 (en) * 2012-08-31 2014-06-26 Amo Groningen B.V. Multi-ring lens, systems and methods for extended depth of focus
US10485655B2 (en) 2014-09-09 2019-11-26 Staar Surgical Company Ophthalmic implants with extended depth of field and enhanced distance visual acuity
US10624735B2 (en) 2016-02-09 2020-04-21 Amo Groningen B.V. Progressive power intraocular lens, and methods of use and manufacture
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EP3210574A1 (en) * 2016-02-29 2017-08-30 Universidad De Murcia Intraocular aberration correction lens
US10881504B2 (en) 2016-03-09 2021-01-05 Staar Surgical Company Ophthalmic implants with extended depth of field and enhanced distance visual acuity
US11497599B2 (en) 2017-03-17 2022-11-15 Amo Groningen B.V. Diffractive intraocular lenses for extended range of vision
US11523897B2 (en) 2017-06-23 2022-12-13 Amo Groningen B.V. Intraocular lenses for presbyopia treatment
US11262598B2 (en) 2017-06-28 2022-03-01 Amo Groningen, B.V. Diffractive lenses and related intraocular lenses for presbyopia treatment
US11156853B2 (en) 2017-06-28 2021-10-26 Amo Groningen B.V. Extended range and related intraocular lenses for presbyopia treatment
US11573433B2 (en) 2017-06-28 2023-02-07 Amo Groningen B.V. Extended range and related intraocular lenses for presbyopia treatment
US11914229B2 (en) 2017-06-28 2024-02-27 Amo Groningen B.V. Diffractive lenses and related intraocular lenses for presbyopia treatment
US11327210B2 (en) 2017-06-30 2022-05-10 Amo Groningen B.V. Non-repeating echelettes and related intraocular lenses for presbyopia treatment
US11427665B2 (en) 2018-08-17 2022-08-30 Staar Surgical Company Polymeric composition exhibiting nanogradient of refractive index
US10774164B2 (en) 2018-08-17 2020-09-15 Staar Surgical Company Polymeric composition exhibiting nanogradient of refractive index
US11844689B2 (en) 2019-12-30 2023-12-19 Amo Groningen B.V. Achromatic lenses and lenses having diffractive profiles with irregular width for vision treatment

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ATE444723T1 (en) 2009-10-15
JP2007319692A (en) 2007-12-13
AR061417A1 (en) 2008-08-27
BRPI0702608A (en) 2008-03-04
RU2427865C2 (en) 2011-08-27
EP1862148B1 (en) 2009-10-07
CA2589478C (en) 2010-05-04
AU2007202517A1 (en) 2007-12-20
CN101181171A (en) 2008-05-21
JP2013176607A (en) 2013-09-09
TW200808278A (en) 2008-02-16
IL183368A (en) 2011-12-29
KR20070115739A (en) 2007-12-06
ES2332110T3 (en) 2010-01-26
CA2589478A1 (en) 2007-11-30
CN101181171B (en) 2011-04-06
DE602007002662D1 (en) 2009-11-19
RU2007120244A (en) 2008-12-10
US20070282438A1 (en) 2007-12-06
IL183368A0 (en) 2007-09-20
MX2007006358A (en) 2008-12-08

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